Evidence map›Paper›PMID 33839000›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

"Far More than Just a Prescription": Focus Groups With U.S. Family Planning Providers and Staff About Integrating PrEP for HIV Prevention Into Their Work.

Na'amah Razon, Amanda Rodriguez, Kimberly Carlson, Jacki Witt, Rachel Logan, Brittany Chambers, Shannon Weber, Dominika Seidman

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Health Care Providers' Reported Barriers to Pre-Exposure Prophylaxis Initiation Among Cisgender Women.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Reimagining Preexposure Prophylaxis Provision for Women in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  11. Incorporating HIV Pre-Exposure Prophylaxis Care for Patients Seeking Induced Abortion and Pregnancy Loss Management.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Na'amah RazonPhilip R. Lee Institute of Health Policy Studies & Department of Family and Community Medicine, University of California San Francisco, San Francisco, California. Electronic address: Na'amah.razon@ucsf.edu.
Amanda RodriguezDivision of General Internal Medicine, University of California San Francisco, San Francisco, California.
Kimberly CarlsonSchool of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, Missouri.
Jacki WittSchool of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, Missouri.
Rachel LoganCollege of Public Health, University of South Florida, Tampa, Florida.
Brittany ChambersDepartment of Epidemiology and Biostatistics & California Preterm Birth Initiative, School of Medicine, University of California San Francisco, San Francisco, California.
Shannon WeberDepartment of Family and Community Medicine, University of California San Francisco, San Francisco, California.
Dominika SeidmanDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California.
University of California, San Francisco · USUniversity of Missouri–Kansas City · USUniversity of South Florida · US

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
UC Berkeley-UCSF Health Services Research Training ProgramT32HS022241 · AHRQ · UNIVERSITY OF CALIFORNIA BERKELEY · PI RODRIGUEZ, HECTOR P. · 2013 to 2024
$3.2M
AHRQ HHS T32 HS022241NICHD NIH HHS K12 HD001262NICHD NIH HHS K12 HD052163
6 · The paper itself

Abstract

backgroundCisgender women in the United States use pre-exposure prophylaxis (PrEP) for HIV prevention at lower rates relative to other groups. Advocacy groups and patients identify family planning clinics as the preferred sites to lead PrEP implementation for women in the United States. However, limited qualitative exploration exists of U.S. family planning practitioners' attitudes toward integrating PrEP into their work.

methodsWe conducted qualitative focus groups with a convenience sample of family planning clinicians, counselors, and clinic managers to explore barriers and facilitators to PrEP provision in U.S. family planning clinics.

resultsWe conducted six focus groups (total participants = 37) with respondents who worked in family planning clinics in San Francisco, California; Kansas City, Missouri; and Philadelphia, Pennsylvania. Key themes emerged highlighting how PrEP at times runs contrary to other family planning agendas, including efficient clinic visits, condom promotion, and long-acting reversible contraception counseling. Throughout these discussions, participants expressed discomfort with HIV vulnerabilities rooted in social and structural determinants of health.

conclusionsFindings suggest that those seeking to implement PrEP for U.S. cisgender women may benefit from exploring 1) how to integrate patient/provider conversations about the structural determinants of health and their relationship to HIV and other sexual and reproductive health outcomes and 2) how to foster person-centered prevention conversations in the context of busy family planning visits.

Indexed as

Family Planning ServicesHIV InfectionsFemaleFocus GroupsHumansMissouriPhiladelphiaPrescriptionsSan FranciscoUnited States

Identifiers

PMID33839000
PMCPMC10191632
OpenAlexW3155159166

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.